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Archived: Highbury Residential Care Home Good

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Inspection report

Date of Inspection: 22, 23 June 2011
Date of Publication: 27 July 2011
Inspection Report published 27 July 2011 PDF | 75.82 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Not met this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 22/06/2011, 23/06/2011, checked the provider's records, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

Overall, people who use the service receive care and support that meets their needs. The care provided to people who are at risk of pressure sores must be reviewed to ensure that they are fully protected.

User experience

People who use the service told us that they are happy with the care they receive. They stated that they are treated with dignity and respect. People reported that staff members are friendly and helpful. One person stated that ‘the staff look after us well’.

People who use the service told us that they like taking part in activities such as dominoes, ball games and puzzles. One person reported that she had enjoyed outings to see films and attend tea dances in the past. She stated that she was looking forward to a boat trip the following week. People took part in a service and played dominoes on the day of our visit.

People who use the service told us that there are enough staff on duty to meet their needs. One person stated that ‘you only have to ask’. People stated that they would speak to senior staff or the manager if they were concerned about anything. They were confident that action would be taken to address any issues they raise.

Staff members attended to people’s needs and treated them with respect. Certificates displayed in the entrance hall indicate that a number of staff are dignity in care champions.

Other evidence

Individual care and support plans have been completed on a range of issues. The plans detail people’s needs and set out the care to be provided by staff. Records indicate that the plans have been kept under review. Both of the people whose records were inspected had been assessed as being at high risk of developing pressure sores, although the assessment form for one person set out three different scores making it difficult to work out which was the most recent. Pressure relieving mattresses and cushions have been provided. Care plans stated that each person’s position should be changed every two hours. We noted that both people were sat in the same position for at least three hours on the day of our visit. Charts relating to turns carried out by night staff were not available for the previous four days. The manager stated that none of the people who use the service had pressure sores at the time of our visit.

The home has introduced a summary and visit record which is completed by the GP and contains clear information about each person. The acting manager stated that she would amend a care plan on medication to reflect a change made by the GP the previous day. She will also ask district nurses to review risk assessments for the use of bed rails.